DR. NICHOLAS A. RADETZKY (NPI# 1710967682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710967682 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS A. RADETZKY |
| Credential | O.D. |
| Practice Address |
3582 Broadway New York NY 10031-3201 |
| Practice Telephone | 2122342020 |
| Practice Fax Number | 2122344609 |
| Mailing Telephone | 2122342020 |
| Mailing Fax Number | 2122344609 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4372 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01033870 | 05 |
| Street Address |
3582 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10031-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982704862 | Broadway Vision Center Inc. | Optometrist | 3582 Broadway, New York, NY 10031-3201 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883675 | Lisa Tian Chen | Physician Assistant | 160 Convent Ave., Harris Hall #15, New York, NY 10031 | 2019-10-18 |
| 1699329144 | Dianna Rosario | Registered Nurse | 640 Riverside Drive, New York, NY 10031 | 2019-08-01 |
| 1447767058 | Sophie Jetta Miller | Social Worker | 507 West 140th Street, #43, New York, NY 10031 | 2018-01-04 |
| 1376074005 | Broadway Rx Enterprises Inc | Pharmacy | 3489 Broadway, New York, NY 10031 | 2017-03-24 |
| 1174061469 | Mbene Diop | In Home Supportive Care | 505 West 148 St Apt 4a, New York, NY 10031 | 2017-02-07 |
| 1447702691 | Sylvan Roger Maginley Jr. | General Practice | 302 Convent Avenue 6, New York, NY 10031 | 2016-11-03 |
| 1477009124 | Anthony Mcfadden | Counselor | 625 West 140th Street, Manhattan, NY 10031 | 2016-08-31 |
| 1942754601 | E-green Pharmacy Inc | Pharmacy | 3500 Broadway, New York, NY 10031 | 2016-08-11 |
| 1356712657 | Sandra Bulos | Internal Medicine | 3410-18 Broadway 2nd Fl, New York, NY 10031 | 2015-10-13 |
| 1033591375 | Phillip Carron | Family Medicine | 3556 Broadway, New York, NY 10031 | 2015-06-23 |
| Find all providers in zip 10031 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366933707 | Metropolitan Vision Optometry Downtown Pllc. | Optometrist | 60 Saint James Pl, New York, NY 10038-1209 | 2018-05-22 |
| 1154505436 | See Better,inc | Optometrist | 1450 Broadway, New York, NY 10018-2201 | 2007-12-22 |
| 1821271354 | Jeffrey Cooper O.d., P.C. | Optometrist | 539 Park Ave, New York, NY 10065-8167 | 2007-12-06 |
| 1982805750 | Midcrest Optical Corporation | Optometrist | 897 8th Ave, New York, NY 10019-5154 | 2007-05-30 |
| 1639201775 | Gitta Rott | Optometrist | 55 E 66th St, New York, NY 10021-6148 | 2007-03-12 |
| 1558419044 | Jeffrey Cooper Od PC | Optometrist | 539 Park Avenue, New York, NY 10021 | 2007-01-08 |
| 1609961192 | Traci M Goldstein | Optometrist | 22 West 13th Street, New York, NY 10011 | 2006-10-03 |
| 1467447318 | Demetra Hamakiotes | Optometrist | 171 E 84th St, Ground Floor, New York, NY 10028-2000 | 2005-09-16 |
| 1538161740 | Alan B Schlussel | Optometrist | 200 E 33rd St, Lbby Office, New York, NY 10016-4874 | 2005-06-01 |
| 1548821762 | Vanessa J Wang | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2019-06-27 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.